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Updated: Oct 1, 2025

Author Spotlight: Unveiling Mitochondrial Function and Cellular Metabolic Adaptation in Metabolic Diseases
Published on: October 4, 2024
TARGETED DOWN REGULATION OF CORE MITOCHONDRIAL GENES DURING SARS-COV-2 INFECTION
Joseph W Guarnieri1,2, Joseph M Dybas1,2, Hossein Fazelinia1,2
1The Children's Hospital of Philadelphia, Philadelphia, PA 19104 USA.
Abstract:
Defects in mitochondrial oxidative phosphorylation (OXPHOS) have been reported in COVID-19 patients, but the timing and organs affected vary among reports. Here, we reveal the dynamics of COVID-19 through transcription profiles in nasopharyngeal and autopsy samples from patients and infected rodent models. While mitochondrial bioenergetics is repressed in the viral nasopharyngeal portal of entry, it is up regulated in autopsy lung tissues from deceased patients. In most disease stages and organs, discrete OXPHOS functions are blocked by the virus, and this is countered by the host broadly up regulating unblocked OXPHOS functions. No such rebound is seen in autopsy heart, results in severe repression of genes across all OXPHOS modules. Hence, targeted enhancement of mitochondrial gene expression may mitigate the pathogenesis of COVID-19.
Insights
COVID-19 disrupts mitochondrial oxidative phosphorylation (OXPHOS) differently across organs. Enhancing mitochondrial gene expression may help mitigate disease by countering viral repression of OXPHOS functions.
Area of Science:
- Biochemistry
- Immunology
- Virology
Background:
- Mitochondrial oxidative phosphorylation (OXPHOS) defects are implicated in COVID-19, but their temporal and organ-specific dynamics remain unclear.
- Understanding these dynamics is crucial for developing targeted therapies against SARS-CoV-2 infection.
Approach:
- Analyzed transcription profiles from nasopharyngeal and autopsy samples of COVID-19 patients and infected rodent models.
- Investigated the interplay between viral activity and host mitochondrial responses across different tissues and disease stages.
Key Points:
- Mitochondrial bioenergetics are repressed in the nasopharynx but upregulated in autopsy lung tissues.
- SARS-CoV-2 blocks discrete OXPHOS functions, which the host attempts to counteract by upregulating unblocked functions.
- Autopsy heart samples show severe OXPHOS gene repression without host rebound, indicating critical cardiac impact.
Conclusions:
- COVID-19 exhibits complex, organ-specific effects on mitochondrial OXPHOS.
- Targeted enhancement of mitochondrial gene expression presents a potential therapeutic strategy to mitigate COVID-19 pathogenesis.
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